Influencer Application Questionnaire

Instructions:

Thank you for your interest in partnering with Shawnee Health to promote the importance of annual well-woman exams in Southern Illinois. We are looking for influencers who can authentically connect with their audience and encourage women to prioritize their health.

Please complete the application below. Selected influencers will receive compensation for their participation, funded through grant resources.

By submitting this application, you acknowledge that your participation is subject to approval, and selection is based on various factors, including audience reach, engagement, and alignment with the campaign’s mission. I further acknowledge that Shawnee Health reserves the right to request proof to verify information submitted in this application.

Funded by Grant Support | Shawnee Health